title: Intracardiac echocardiogram-guided use of a Dormia basket to prevent major vegetation embolism during transvenous lead extraction.
abstract: We discuss a case of transvenous lead extraction (TLE) in a patient with a large vegetation. To prevent embolization, a Dormia basket was placed in the pulmonary artery trunk. After uncomplicated TLE, the basket was withdrawn, and vegetation material was retrieved from it. Our experience confirms that TLE is feasible even with large vegetations, and the pulmonary circulation may be protected with a simple intravascular device.
authors.affiliation: Cardiac Arrhythmia Research Centre, Centro Cardiologico Monzino IRCCS, Milan, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Dello Russo
authors.forename: Carmine
authors.initials: C
authors.lastname: Di Stasi
authors.forename: Gemma
authors.initials: G
authors.lastname: Pelargonio
authors.forename: Michela
authors.initials: M
authors.lastname: Casella
authors.forename: Stefano
authors.initials: S
authors.lastname: Bartoletti
authors.forename: Maria Lucia
authors.initials: ML
authors.lastname: Narducci
authors.forename: Eleonora
authors.initials: E
authors.lastname: Russo
authors.forename: Ester
authors.initials: E
authors.lastname: Innocenti
authors.forename: Daniele
authors.initials: D
authors.lastname: Colombo
authors.forename: Fulvio
authors.initials: F
authors.lastname: Bellocci
authors.forename: Claudio
authors.initials: C
authors.lastname: Tondo
mesh_terms: D000369:Aged, 80 and over; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal / Q000295:instrumentation*; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000517:prevention & control*; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000601:surgery*; D011651:Pulmonary Artery; D018084:Ultrasonography, Interventional